MEDICARE: HORIZON HEALTH CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831207844
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HORIZON HEALTH CARE INC

Provider Business Mailing Address
First Line	:	602 1ST ST NE
Second Line	:	SUITE 1
City	:	WESSINGTON SPRINGS
State	:	SD
Zip	:	57382-2167
Country	:	US
Telephone Number	:	605-539-1778
Fax Number	:	605-539-9546

Provider Business Practice Location Address
First Line	:	602 1ST ST NE
Second Line	:	SUITE 1
City	:	WESSINGTON SPRINGS
State	:	SD
Zip	:	57382-2167
Country	:	US
Telephone Number	:	605-539-1778
Fax Number	:	605-539-9546

Authorized Official
Title or Position	:	CEO
Name	:	JOHN MENGENHAUSEN
Credential	:
Telephone Number	:	605-772-4525

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	10/11/2007

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Directions to “HORIZON HEALTH CARE INC ” Practice Location

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